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Ixekizumab

Ixekizumab
Monoclonal antibody
Type Whole antibody
Source Humanized
Target IL-17A
Clinical data
Trade names Taltz
AHFS/Drugs.com taltz
Routes of
administration
Subcutaneous injection
ATC code
Legal status
Legal status
Pharmacokinetic data
Bioavailability 54–90%
Metabolism Presumably proteolysis
Biological half-life 13 days
Identifiers
CAS Number
DrugBank
ChemSpider
  • none
UNII
KEGG
Chemical and physical data
Formula C6492H10012N1728O2028S46
Molar mass 146.2 kg/mol
 NYesY (what is this?)  

Ixekizumab (trade name Taltz) is an injectable drug for the treatment of autoimmune diseases. Chemically, it is a humanized monoclonal antibody. The substance acts by blocking interleukin 17, reducing inflammation.

The drug was developed by Eli Lilly and Co. and is approved for the treatment of plaque psoriasis in Europe and the US.

Ixekizumab is used for the treatment of moderate to severe plaque psoriasis in adults.

In studies, the drug reduced the Psoriasis Area and Severity Index by at least 75% (PASI75) in 82–89% of patients during the first three months of treatment (depending on the dosing scheme), and 40% of patients experienced a complete absence of psoriasis symptoms (PASI100). In the placebo group, PASI75 was reached in 4% of patients, and PASI100 in none; in the group of patients receiving etanercept, an older anti-psoriasis drug, PASI75 was reached in 48%. Until the 60th study week, 11–44% of ixekizumab treated patients relapsed (again, depending on the dosing scheme), as compared to 84% under placebo.

The drug is contraindicated for patients with certain infections such as active tuberculosis.

In studies, ixekizumab increased the rate of infections (27% of ixekizumab treated patients, compared to 23% under placebo), including severe ones (0.6% versus 0.4% under placebo). Other common side effects included injection site pain (13–17% versus 3%), oropharyngeal pain (1%) and nausea (1–2%).

Up to fourfold doses have been given in studies without causing serious side effects.

No interaction studies have been done. Ixekizumab and interleukin 17 are not known to interact with (CYP) liver enzymes. Since inflammation suppresses CYP activity, it is theorized that ixekizumab could neutralize this effect and lower blood plasma concentrations of drugs that are metabolized by CYP enzymes, such as warfarin.


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